Antrumwindow operation 再手術例の検討

概要

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Seven cases of the chronic sinusitis, which had undergone antrum-window-operation 1.5-10 years ago, were reoperated.At these operations the status of the antrum-window in the inferior nasal meatus and the mucosa of the maxillary sinus were examined and the following results were found.1) The antrum window was closed in 3 cases (5 sides) among 11 cases and remained open in 4 cases (6 sides).2) In the cases with closed window retention of secretion and severe swelling of the mucosa were observed in the maxillary sinus. The maxillary sinuses with the open window were empty and the swelling of the mucosa was slight.3) The mucosa of the ethmoidal sinus of the closed cases revealed remarkable swelling which was not found in the open cases.From these results the author concluded that the severe change in the mucosa of the maxillary sinus could not be reversed by antrum-window-operation. The fact that the closed cases are associated with severe ethmoiditis suggest that this type of operation is not indicated in those cases complicated with severe ethmoiditis.
社団法人日本耳鼻咽喉科学会の論文